NPI 1003019167

Michael Raymond Childress, RPTA

Practitioner Physical Therapy Assistant Tulsa, OK

Practice location

Address: 2408 E 81st St STE 300, Tulsa, OK 74137-4200
Phone: (918) 477-5053
Fax: (918) 477-5040

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 770 (OK)

Other Physical Therapy Assistant providers in Oklahoma →

Registry record

NPI: 1003019167
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jun 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.